Individual
MR. SHAUN MICHAEL DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
122 W 27TH ST, SUITE 11, NEW YORK, NY 10001-6227
(646) 302-6951
Mailing address
7101 4TH AVE, APT C5, BROOKLYN, NY 11209-1662
(646) 302-6950
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024184-1
NY
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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